Social Marketing Plus for Diarrheal Disease Control: Point-of-Use Water Disinfection and Zinc Treatment (POUZN) Project 2005-2010Overview: This publication focuses on the Abt Associates experience implementing the USAID-funded Point-of-Use Water Disinfection and Zinc Treatment Project (POUZN) in three countries introducing zinc treatment, along with lo-osmolarity ORS, as a standard of care for children with diarrhea. This report encompasses the introduction of zinc with ORS in Nepal, Benin, Madagascar and Pakistan, as well as highlights and lessons learned in the implementation of water treatment programs in Kenya, Rwanda, Malawi, Benin, and the Democratic of the Congo between 2005 and 2010.

TanzaniaADE.POUZN- Introducing Improved Treatment of Childhood Diarrhea with Zinc and ORT in TanzaniaOverview: Lessons learned from AED (now FHI 360)’s introduction of zinc treatment, both in the public and private sectors. Context and goals are discussed, as well as strategies implemented and adjustments made. The section on results includes data on changes in diarrhea treatment practices among both providers and caregivers of children under five.POUZN Tanzania: Using a Multi-Sector Approach to Promote Zinc and Oral Rehydration TherapyOverview: The USAID-funded AED (now FHI 360) Project’s lessons learned in Tanzania, including details on collaborating with the MOH to help in updating the national guidelines for the treatment of diarrhea, enlisting the pharmaceutical companies for local production of zinc, and extending the distribution points to the rural areas by building on the Accredited Drug Dispensing Outlet (ADDO) program.

Asia

BangladeshAssessment of Commercial Private Sector for Health Care Products in BangladeshOverview: A Pilot activity funded by USAID that explores how a market development approach could be used to promote the sustainable delivery of selected health care products to underserved populations in Bangladesh. General opportunities for development programs to support commercial private sector initiatives in the healthcare sector of Bangladesh and (possibly) elsewhere are also identified.

CambodiaAssessment of Pilot Zinc Introduction in CambodiaOverview: Assessment of a pilot to introduce Zinc through the USAID-funded POUZN project in Cambodia that focuses on current policies for diarrheal disease case management as well as the feasibility of the public sector to distribute zinc and low-osmolarity ORS through public health facilities and the private sector to distribute OraselKIT® diarrhea treatment kit.

IndiaControl of Childhood Diarrhoea Through Scaling-up Zinc and ORSOverview: Government of India Guidelines developed to assist State health programme managers for successful planning for scaling up of ORS and Zinc use for reduction in childhood deaths resulting from diarrhoea including procurement, monitoring and evaluation strategies and community awareness.

The Private Sector Market for Diarrhea Treatment in IndiaOverview:
This assessment was performed by CHIA (2012) to examine supply and demand-side barriers of the diarrhea treatment market in order to provide in a way that offers strategic direction for the development of India’s essential medicines national strategy.

Management Practices for Childhood Diarrhoea in India- Survey of 10 DistrictsOverview:
This study was conducted to understand the current practices by caregivers and service providers related to the management of childhood diarrhoea to assist in strategic planning, design, implementation, and monitoring of programmes aimed at controlling childhood diarrhoea and to accelerate expanded utilisation of low-osmolarity ORS and zinc.

AED/POUZN: Creating a Partnership Model to Take Zinc to Scale in IndiaOverview: A detailed version of AED (now FHI 360)’s lessons learned for creating a sustainable supply and demand for zinc treatment in India. The document describes the evolution of the private sector partnership from a nationwide strictly urban strategy to a more focused rural business model involving small local pharmaceutical companies and NGOs to to create demand among Rural Medical Practitioners (RMP) who are the first line health care providers for the majority of the rural population in India.

IndonesiaAssessment for the Introduction of Zinc in Improved Management of Diarrhea in IndonesiaOverview: An assessment of the diarrhea case management situation and the feasibility of introducing zinc therapy for a USAID-funded BASICS project in Indonesia that focuses on outlook for the production and distribution of zinc products, government drug supply management, prescribing habits of practitioners and public awareness and education needs.

IndonesiaPOUZN Indonesia: Private and Public Sector Collaboration to Improve Diarrhea TreatmentOverview: Lessons learned from AED (now FHI 360)’s implementation of the nationwide scale-up of zinc treatment in Indonesia, including the rapid registration and introduction of zinc treatment with the help of the public sector, the successful engagement of multiple pharmaceutical companies to produce and market zinc treatment to providers (doctors and midwives) and the project approach with the public sector to reach directly the caregivers through mass media.

Demand Creation and Behavior Change

Ghana: The USAID-funded SHOPS project has an example of a recent TV advertisement for Ghana’s mass media campaign to increase the awareness of caregivers about new national guidelines recommending the treatment of pediatric diarrheas with zinc and oral rehydration salts and to promote correct use of those treatments (see Video).

Instructional Materials

Research

NigeriaThe Private Sector Market for Diarrhea Treatment in NigeriaOverview: This assessment was performed by CHIA (2011) to inform a scale-up plan for ORS and Zinc by identifying the main barriers to increasing accessibility and uptake of appropriate diarrhea treatments through Nigeria’s private healthcare delivery sector. In particular, barriers to access and uptake were assessed at the levels of supply, distribution, and sale of treatments.

IndiaFormative Research for Developing Communication Strategy to Private SectorOverview: This Report presents the findings of the formative research conducted in two states in India to understand the underlying needs of the community as well as their health seeking behaviour and practices for childhood diarrhea treatment. In addition, the influences and triggers to adopt ORS and Zinc supplements as the solution are discussed and a two phase communication approach is recommended.